2012
DOI: 10.1038/nrmicro2779
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Trypanosomal immune evasion, chronicity and transmission: an elegant balancing act

Abstract: During their life cycle, trypanosomes must overcome conflicting demands to ensure their survival and transmission. First, they must evade immunity without overwhelming the host. Second, they must generate and maintain transmission stages at sufficient levels to allow passage into their tsetse vector. Finally, they must rapidly commit to onward development when they enter the tsetse fly. On the basis of recent quantification and modelling of Trypanosoma brucei infection dynamics, we propose that the interplay b… Show more

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Cited by 108 publications
(113 citation statements)
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“…In many cases, antigens appearing very progressively do not represent a strong modification and hence are not eliminated 43,44 . Motifs changing at a very high rate can make protective immune responses impossible, as happens with many parasites and viruses including HIV 45,46,47 . Indeed, in these conditions, the time required for the generation of protective immune response is greater than the time needed for the pathogens to mutate.…”
Section: A Response Based On the Variation Of The Quantities Of Antigmentioning
confidence: 99%
“…In many cases, antigens appearing very progressively do not represent a strong modification and hence are not eliminated 43,44 . Motifs changing at a very high rate can make protective immune responses impossible, as happens with many parasites and viruses including HIV 45,46,47 . Indeed, in these conditions, the time required for the generation of protective immune response is greater than the time needed for the pathogens to mutate.…”
Section: A Response Based On the Variation Of The Quantities Of Antigmentioning
confidence: 99%
“…Transmission typically occurs through the saliva of blood-sucking insect vectors during feeding. The life cycle of African trypanosomes, such as Trypanosoma congolense, T. brucei brucei, T. b. gambiense, and T. b. rhodesiense, is fully dependent on cyclical development in the tsetse fly vector and highly complex (1). Thus, these parasites are restricted to areas inhabited by the tsetse fly (i.e., sub-Saharan Africa).…”
mentioning
confidence: 99%
“…The work further suggested that the early period of infection, when long slender forms predominate, is where most of the population will be able to switch VSGs, and the authors suggest that this is a period of initial adaptation to the new environment enabling the trypanosome to overcome, for example, antibodies present due to previous infections or coinfections. After this period of putative rapid switching and adaptation, short stumpy forms predominate and only a minority of the population are able to switch to a new variant for the remainder of the infection timescale (230). These observations emphasize the requirement for further analysis of the chronic stages of infection, and in particular how the observation that only a small proportion of trypanosomes are switching VSGs may potentially influence the mechanistic processes during infection.…”
Section: The Interplay Between Differentiation and Vsg Switchingmentioning
confidence: 87%